Individual
ANDREA L BOGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1630 HACKBERRY DR, NORFOLK, NE 68701-3332
(605) 651-5877
Mailing address
1630 HACKBERRY DR, NORFOLK, NE 68701-3332
(605) 651-5877
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/30/2019
Last updated
06/19/2021
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